Article ; Online: Growth hormone treatment in small for gestational age children. A single-center experience
Archivos argentinos de pediatria
2023 Volume 121, Issue 4, Page(s) e202202753
Abstract: Introduction. Small for gestational age (SGA) children usually have a final height of 1 SD below the mean. Three groups are established based on anthropometric characteristics at birth: low birth weight (LBW), short birth length (SBL), or both. ... ...
Title translation | Tratamiento con hormona de crecimiento en niños nacidos pequeños para la edad gestacional. Experiencia de un centro. |
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Abstract | Introduction. Small for gestational age (SGA) children usually have a final height of 1 SD below the mean. Three groups are established based on anthropometric characteristics at birth: low birth weight (LBW), short birth length (SBL), or both. Objectives. To describe the characteristics of SGA patients seen at the Department of Pediatric Endocrinology of a tertiary care hospital and to analyze the course of SGA children without catch-up growth at 4 years of age who were receiving treatment with growth hormone (GH), according to their diagnosis. Methods. Retrospective study of SGA patients seen between 2004 and 2021. Results. A total of 89 SGA children were studied; 44/89 started treatment with GH (11/44 LBW, 8/44 SBL, and 25/44 both). Their mean age at diagnosis was 3.87 years; their mean height at treatment initiation was -2.99 SD in SGA children diagnosed by LBW, -2.85 SD in those with SBL, and -3.17 SD in those with both LBW and SBL. Their final height was -1.77, -1.52, and -1.23 SD, respectively, with a total gain of 1.22, 1.33, and 1.93 SD, respectively, thus reaching their target height with a difference of 0.36 ± 0.08 SD. Conclusion. Less than half of SGA children referred to the clinic required treatment with GH because they were not yet 4 years old or had not completed their catch-up growth. SGA patients according to birth weight and length had worse percentiles at diagnosis and a greater response to GH. |
MeSH term(s) | Infant, Newborn ; Humans ; Child ; Child, Preschool ; Retrospective Studies ; Gestational Age ; Body Height ; Human Growth Hormone/therapeutic use ; Growth Hormone |
Chemical Substances | Human Growth Hormone (12629-01-5) ; Growth Hormone (9002-72-6) |
Language | Spanish |
Publishing date | 2023-03-02 |
Publishing country | Argentina |
Document type | Journal Article |
ZDB-ID | 424449-7 |
ISSN | 1668-3501 ; 0325-0075 ; 0004-0487 |
ISSN (online) | 1668-3501 |
ISSN | 0325-0075 ; 0004-0487 |
DOI | 10.5546/aap.2022-02753.eng |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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